Timothy Jean Schlehofer, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

012311 Issued in CT

Practice address

32 Baxter Rd
Storrs, CT 06268-1112

Phone

(860) 942-0427

NPI assigned

Dec 26, 2022

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• State of Connecticut

  dba Southeastern Mental Health Authority

  • Adult Mental Health Clinic/Center
  • Norwich, CT
  • NPI 1902831548
  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1672012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672012800000",
    "number": "1679286413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 BAXTER RD",
            "city": "STORRS",
            "state": "CT",
            "postal_code": "062681112",
            "telephone_number": "860-942-0427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 BAXTER RD",
            "city": "STORRS",
            "state": "CT",
            "postal_code": "062681112",
            "telephone_number": "860-942-0427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHLEHOFER",
        "first_name": "TIMOTHY",
        "middle_name": "JEAN",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-12-26",
        "last_updated": "2022-12-26",
        "certification_date": "2022-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "012311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Elizabeth Rizzardi
• Jon J Rizzo, P.T., A.T.C.
• Christine Rodriguez, APRN
• Margaret Ann Rux, APRN
• Rosanne C Santos, APRN
• Laura J Sczurek, APRN
• Sofia Segura-Perez, RD
• Select Physical Therapy of Connecticut Limited Partnership (Select Physical Therapy)
• Melissa Claire Sheardwright, PH.D.
• Madison Frances Shuler

• Clinical Social Worker in Storrs, CT
• Providers in Storrs, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.